| NPI | 1962061697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA ANN STURGESS-STREICH Owner, Director Of Operations 405-203-4324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-06-07 |